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Publication Details
AFRICAN RESEARCH NEXUS
SHINING A SPOTLIGHT ON AFRICAN RESEARCH
immunology and microbiology
The epidemiology of malaria in Bolifamba, a rural community on the eastern slopes of Mount Cameroon: Seasonal variation in the parasitological indices of transmission
Annals of Tropical Medicine and Parasitology, Volume 99, No. 3, Year 2005
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Description
The prevalences of malarial parasitaemia, fever, splenomegaly and anaemia and the levels of parasitaemia were investigated, through part of one wet season (in 2001) and the following dry season (in 2002), in 2157 subjects in the village of Bolifamba, in south-western Cameroon. Overall, 55.9% of the villagers checked in the wet season but only 49.5% of those examined in the dry season were found smear-positive for malaria (P<0.0001). Rainfall was found to be significantly associated with the mean level of parasitaemia (P=0.001). The prevalences of fever (40.3% v. 19.6%), splenomegaly (37.4% v. 4.0%) and marked splenomegaly (i.e. a Hackett's score of 2 or higher; 25.8% v. 2.4%) were all significantly higher in the wet season than in the dry (P<0.0001 for each). No seasonal difference was observed, however, in the prevalence of anaemia. Parasitaemia, fever, splenomegaly and anaemia were all significantly more common in the young children investigated (i.e. those aged <5 years) than in the older subjects. When the data were subjected to a multiple logistic regression, age-group, anaemia, fever, and month of examination were all found to be significantly associated with the presence of malarial parasitaemia. The results of this large-scale study, the first of its kind in the Buea district of Cameroon, indicate the intense transmission of malarial parasites in rural Bolifamba, with young children at greatest risk. The data collected provide a useful 'base line' for an ongoing study to assess the immune status of the residents of Bolifamba. © 2005 The Liverpool School of Tropical Medicine.
Authors & Co-Authors
Akenji, Theresia Nkuo
Cameroon, Buea
University of Buea
Ntonifor, Nelson Neba
Cameroon, Buea
University of Buea
Kimbi, Helen Kuokuo
Cameroon, Buea
University of Buea
Abongwa, E. L.
Cameroon, Buea
University of Buea
Ching, J. K.
Cameroon, Buea
University of Buea
Ndukum, M. B.
Cameroon, Buea
University of Buea
Anong, Damian Nota
Cameroon, Buea
University of Buea
Nkwescheu, Armand Séraphin
Cameroon, Buea
University of Buea
Songmbe, M.
Cameroon, Buea
University of Buea
Boyo, M. G.
Cameroon, Buea
University of Buea
Ndamukong, Kenneth Jacob Ngoh
Cameroon, Buea
University of Buea
Titanji, Vincent Pryde Kehdinga
Cameroon, Buea
University of Buea
Statistics
Citations: 12
Authors: 12
Affiliations: 1
Identifiers
Doi:
10.1179/136485905X29693
ISSN:
00034983
Research Areas
Health System And Policy
Infectious Diseases
Maternal And Child Health
Study Design
Cross Sectional Study
Study Locations
Cameroon